Skip to main content

Monitoring of Therapeutic Progress by COMES®

  • 799 Accesses

Part of the Advanced Technologies and Societal Change book series (ATSC)


In industrialized countries, diseases of the circulatory system are still the major common cause of death. According to common doctrine in addition to a treatment with medication, lifestyle changes are required, too. For lifestyle changes the patient has to employ enormous self-management efforts, as it is very hard to maintain them without proper control and support. The telemedical assistance system called COMES® (Cognitive Medical Systems), which has been developed at the Heinz Nixdorf Lehrstuhl für Medizinische Elektronik der Technischen Universität München, is an eminent tool for supporting the continuation of life style changes. Among others, COMES® offers modules which enables the physician to define therapy goals. Now, automatically generated individual motivation messages encourage the patient to appropriate them. A first study of increasing physical activity by COMES® motivation shows, that patients can be motivated significantly in order to achieve therapy goals.


  • Lifestyle Change
  • Smart Phone
  • Step Counter
  • Therapy Goal
  • Medical Sensor

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

This is a preview of subscription content, access via your institution.

Buying options

USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-319-11866-6_5
  • Chapter length: 8 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
USD   89.00
Price excludes VAT (USA)
  • ISBN: 978-3-319-11866-6
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   119.99
Price excludes VAT (USA)
Hardcover Book
USD   139.99
Price excludes VAT (USA)
Fig. 1
Fig. 2


  1. Statistisches Bundesamt (Hrsg.): Gesundheit: Todesursachen in Deutschland. Wiesbaden (12). (2012)

  2. Deutsche Rentenversicherung Bund (Hrsg.): Reha-Bericht 2012. Die medizinische und berufliche Rehabilitation der Rentenversicherung im Licht der Statistik (2012)

    Google Scholar 

  3. Wolf, B.: Einrichtung zur Früherkennung von kritischen Gesundheitszuständen, insbesondere bei Risikopatienten. Offenlegungsschrift DE 100 06 598 A 1, DPMA, 2001

    Google Scholar 

  4. Wolf, B., Friedrich, P., Becker, S., Clauss, J., Hofsøy, D.A., Scholz, A.: Ambient Medicine® -sensorgestützte Assistenzsysteme für die telematische Diagnose und Therapie, e-Health2010 Informationstechnologien und Telematik im Gesundheitswesen/Frank Duesberg (Hrsg.), Solingen, S.230–S. 236 (2010)

    Google Scholar 

  5. Varnfield, M., Karunanithi, M., Särelä, A., et al.: Uptake of a technology-assisted home-care cardiac rehabilitation program. Med. J. Aust. 194, 15–19 (2011)

    Google Scholar 

  6. Mittag, O., China, C., Hoberg, E., Juers, E., Kolenda, K.-D., Richardt, G., Maurischat, C., Raspe, H.: Outcomes of cardiac rehabilitation with versus without a follow-up intervention rendered by telephone (Lübeck follow-up trial): overall and gender-specific effects. Int. J. Rehabil. Res. 29, 295–302 (2006)

    CrossRef  Google Scholar 

  7. Wolf, M., Zimmer, B., Dogs, P.: Chat- und E-Mail-Brücke: Nachsorge nach stationärer Psychotherapie. In: Bauer, S., und Kordy, H. (Hrsg.) E-Menthal-Health. Neue Medien in der psychosozialen Versorgung, pp. 219–235. Springer Verlag, Heidelberg (2008)

    Google Scholar 

  8. Spittler, T., Weiß, R., Köhl, S., Friedrich, P., Wolf, B.: Care of cardiovascular disease with COMES®. In: IEEE International conference on consumer electronics—Berlin (ICCE-Berlin), Berlin, Germany, 08–11 Sept 2013

    Google Scholar 

  9. Spittler, T., Handwerker, M., Friedrich, P., Wolf, B.: Early recognition of depression at diabetes mellitus with the cognitive medical system COMES®. IADIS WWW/Internet 2011, Rio de Janeiro, Brasilien

    Google Scholar 

  10. Spittler, T., Weiss, R., Orban, A., Martius, P., Friedrich, P., Wolf, B.: Telemedizinische Assistenz in der akuten und nachsorgenden Rehabilitation. 6. Deutscher AAL Kongress. Berlin, Germany, S. 90–S. 92 (2013)

    Google Scholar 

  11. Wolf, B., Friedrich, P., Herzog, K., Becker, S., Brischwein, B., Clauss, J., Demmel, F., Dill, D., Scholz, A., Wiest, J., Grothe, H., Gül, M., Hofsøy, D.A., Schmidhuber, M., Spittler, T.: Microelectronics for a healthy live. Medizintechnik in Bayern, pp. 18–27 (2011)

    Google Scholar 

  12. Wolf, B., Herzog, K.: Electronics for a better healthcare. Eur. J. Prev. Cardiol. 20(2), 2–7 (2013)

    CrossRef  Google Scholar 

  13. Spittler, T., Bachinger, T., Kirchmann, M., Wolf, B.: Support of therapy for cardiovascular diseases by telemedical intervention. IADIS WWW/Internet 2013, Fort Worth, Texas, USA (2013)

    Google Scholar 

Download references


For financial and technical support we thank Heinz Nixdorf-Stiftung, Hochschule Kempten and Synergy Systems GmbH.

Author information

Authors and Affiliations


Corresponding author

Correspondence to T. Spittler .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and Permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Spittler, T., Polterauer, D., Clauss, J., Friedrich, P., Wolf, B. (2015). Monitoring of Therapeutic Progress by COMES® . In: Wichert, R., Klausing, H. (eds) Ambient Assisted Living. Advanced Technologies and Societal Change. Springer, Cham.

Download citation

  • DOI:

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-11865-9

  • Online ISBN: 978-3-319-11866-6

  • eBook Packages: EngineeringEngineering (R0)